{"id":102,"date":"2025-10-01T06:04:00","date_gmt":"2025-10-01T06:04:00","guid":{"rendered":"https:\/\/mediclo-import.html-zodevs.com\/?page_id=102"},"modified":"2025-10-18T14:07:25","modified_gmt":"2025-10-18T14:07:25","slug":"appointment","status":"publish","type":"page","link":"https:\/\/html-zodevs.com\/mediclo-demo\/appointment\/","title":{"rendered":"Appointment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"102\" class=\"elementor elementor-102\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bc5994c e-con-full e-flex e-con e-parent\" data-id=\"bc5994c\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-12226cb elementor-widget elementor-widget-mediclo-appointment-form\" data-id=\"12226cb\" data-element_type=\"widget\" data-widget_type=\"mediclo-appointment-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\n<section class=\"appointment-area ptb-110 ele-section\">\n\t<div class=\"container container-regular\">\n\t\t<div class=\"heading-area-wrapper\">\n\t\t\t<div class=\"section-heading ele-content-align\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<h2 class=\"mediclo-contact-2-title mediclo-el-title mb-50\">Book An Appointment<\/h2>\t\t\t\t\t\t\t\t \n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row gy-5\">\n\t\t\t<div class=\"col-xl-5 col-lg-6\">\n\t\t\t\t<div class=\"appointment-left-area\">\n\t\t\t\t\t<div class=\"image-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/html-zodevs.com\/mediclo-demo\/wp-content\/uploads\/2025\/10\/mask-doctor-img.png\" alt=\"\">\n\t\t\t\t\t\t \n\t\t\t\t\t\t<svg width=\"470\" height=\"442\" viewBox=\"0 0 470 442\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t\t\t<path d=\"M0 221C0 98.9451 98.9451 0 221 0H235C364.787 0 470 105.213 470 235V442H221C98.9451 442 0 343.055 0 221Z\" fill=\"#357A6E\" fill-opacity=\"0.85\"\/>\n\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-xl-7 col-lg-6\">\n\t\t\t\t<div class=\"appointment-form-area\">\n\t\t\t\t\t<div class=\"appointment-form p-24 ele-form-area\">\n\t\t\t\t\t\t\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f100-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"100\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/mediclo-demo\/wp-json\/wp\/v2\/pages\/102#wpcf7-f100-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"100\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.2\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f100-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"row\">\n\t\t\t\t\t\t\t\t<div class=\"col-xl-6 col-lg-6 col-md-6 mt-24\">\n\t\t\t\t\t\t\t\t\t<label for=\"name\" class=\"form-label\">Your Name<\/label>\n\t\t\t\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"user-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Esther Howard\" value=\"\" type=\"text\" name=\"user-name\" \/><\/span>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"col-xl-6 col-lg-6 col-md-6 mt-24\">\n\t\t\t\t\t\t\t\t\t<label for=\"email\" class=\"form-label\">Your Email<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"email\" class=\"form-control\" id=\"email-address\" placeholder=\"nathan.roberts@example.com\" autocomplete=\"on\">\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"col-xl-6 col-lg-6 col-md-6 mt-24\">\n\t\t\t\t\t\t\t\t\t<label for=\"location\" class=\"form-label\">Your Location<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"text\" class=\"form-control\" id=\"location\" placeholder=\"1901 Thornridge Cir. Shiloh, Hawaii 81063\" autocomplete=\"on\">\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"col-xl-6 col-lg-6 col-md-6 mt-24\">\n\t\t\t\t\t\t\t\t\t<label for=\"record-number\" class=\"form-label\">Medical Record Number<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"text\" class=\"form-control\" id=\"record-number\" placeholder=\"6025\" autocomplete=\"on\">\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"col-xl-6 col-lg-6 col-md-6 mt-24\">\n\t\t\t\t\t\t\t\t\t<label for=\"date\" class=\"form-label\">Preferred Date<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"text\" class=\"form-control\" id=\"date\" placeholder=\"01.01.2025\" autocomplete=\"on\">\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\" col-xl-6 col-lg-6 col-md-6 mt-24\">\n\t\t\t\t\t\t\t\t\t<label for=\"time\" class=\"form-label\">Preferred Time<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"text\" class=\"form-control\" id=\"time\" placeholder=\"12.30 PM\" autocomplete=\"on\">\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t<div class=\"col-12 mt-24\">\n\t\t\t\t\t\t\t\t\t<fieldset>\n\t\t\t\t\t\t\t\t\t<legend class=\"form-label d-block\">Reason For Visit<\/legend>\n\t\t\t\t\t\t\t\t\t<div class=\"fieldset-area\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-check-inline\">\n\t\t\t\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"reason\" id=\"reason1\">\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"reason1\" class=\"form-check-label\">Reason For Visit<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-check-inline custom-gap\">\n\t\t\t\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"reason\" id=\"reason2\">\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"reason2\" class=\"form-check-label\">Reason For Visit<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-check-inline\">\n\t\t\t\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"reason\" id=\"reason3\" checked>\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"reason3\" class=\"form-check-label\">New Patient Visit<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-check-inline\">\n\t\t\t\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"reason\" id=\"reason4\">\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"reason4\" class=\"form-check-label\">Specific Concern<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/fieldset>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t<div class=\"col-12 mt-24\">\n\t\t\t\t\t\t\t\t\t<fieldset>\n\t\t\t\t\t\t\t\t\t<legend class=\"form-label d-block\">Department<\/legend>\n\t\t\t\t\t\t\t\t\t<div class=\"fieldset-area\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-check-inline\">\n\t\t\t\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"department\" id=\"dept1\">\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"dept1\" class=\"form-check-label\">Urology<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-check-inline\">\n\t\t\t\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"department\" id=\"dept2\">\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"dept2\" class=\"form-check-label\">Oncology<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-check-inline\">\n\t\t\t\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"department\" id=\"dept3\" checked>\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"dept3\" class=\"form-check-label\">Orthopedic<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-check-inline\">\n\t\t\t\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"department\" id=\"dept4\">\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"dept4\" class=\"form-check-label\">Neurology<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/fieldset>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t<div class=\"col-12 text-end mt-32\">\n\t\t\t\t\t\t\t\t\t<button type=\"submit\" class=\"primary-btn mediclo-el-btn\">Book Appointment<\/button>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/section>\n\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Book An Appointment Your Name Your Email Your Location Medical Record Number Preferred Date Preferred Time Reason For Visit Reason For Visit Reason For Visit New Patient Visit Specific Concern Department Urology Oncology Orthopedic Neurology Book Appointment<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-102","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/html-zodevs.com\/mediclo-demo\/wp-json\/wp\/v2\/pages\/102","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/html-zodevs.com\/mediclo-demo\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/html-zodevs.com\/mediclo-demo\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/html-zodevs.com\/mediclo-demo\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/html-zodevs.com\/mediclo-demo\/wp-json\/wp\/v2\/comments?post=102"}],"version-history":[{"count":1,"href":"https:\/\/html-zodevs.com\/mediclo-demo\/wp-json\/wp\/v2\/pages\/102\/revisions"}],"predecessor-version":[{"id":554,"href":"https:\/\/html-zodevs.com\/mediclo-demo\/wp-json\/wp\/v2\/pages\/102\/revisions\/554"}],"wp:attachment":[{"href":"https:\/\/html-zodevs.com\/mediclo-demo\/wp-json\/wp\/v2\/media?parent=102"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}